Physician Office Referrals
To refer a patient for an evaluation and treatment for swallowing, cognition, voice, or speech-language, please fill out this referral form and fax it to 918-928-4701 or email it to firstname.lastname@example.org, along with the patient's insurance card and medical history. SNR will then contact the patient directly to arrange an appointment.
To order a swallow study (fiberoptic endoscopic evaluation of swallowing) or a videostroboscopy voice assessment, please check the option labeled 'Endoscopy' on the referral form.
SNR will send the referring physician a copy of the patient's evaluation (including images from instrumental assessments and/or a HIPAA secure video link of the endoscopy if requested) and plan of care, along with periodic updates about the patient's progress. Feel free to call the SNR office at 918-928-4700 with any specific questions, and we are happy to help.
Welcome to SNR! If your physician has ordered a speech-language pathology evaluation, please call us at 918-928-4700 or email us at email@example.com to schedule your appointment. Prior to booking your appointment, SNR will need:
a copy of your insurance card,
your past medical history/ a recent physician visit note, and
your physician referral form (typically faxed directly to us by your physician).
If you are not being referred by a physician, call us today to discuss your case with us and find out if you could be a good treatment candidate. After discussing your symptoms, our team can help you contact your physician to obtain a referral for an evaluation if deemed appropriate. An appointment for a full evaluation will be scheduled at that time when a referral and the necessary documentation is received.
SNR is in-network with Medicare, Medicaid, Community Care (St. John and St. Francis networks), United Healthcare, most Blue Cross plans, and most other private insurance plans. Contact us to verify your benefits.